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OddsShift · Jul 8, 2026

Orioles' Relief Corps Seeking Second Opinions on Multiple Elbow Injuries

The Orioles are facing a bullpen health crisis that has multiple arms heading for second opinions. Left-handed reliever Keegan Akin will meet with Dr. Keith Meister next week to evaluate an elbow issue, while closer Ryan Helsley is undergoing further testing on his own elbow injury this week. Right-hander Colin Selby is also slated to visit a specialist for additional evaluation.

When a team's relief corps gets hit with multiple injuries simultaneously—particularly to key figures like a closer—it creates significant problems. The bullpen is stretched thin enough during a normal season, and losing multiple arms forces teams to make difficult decisions about depth chart usage and rest patterns.

The fact that these players are pursuing second opinions suggests the initial diagnoses or prognoses may have left the organization wanting more clarity. Elbow injuries in pitchers are always concerning given the complexity of the joint and the consequences for a pitcher's career. The Orioles will be hoping these evaluations bring better news or at least a clearer timeline for returns.

For betting markets, bullpen injuries directly impact game totals and win projections. If key relievers miss extended time, teams tend to give up more runs in close contests, which can push totals higher. Meanwhile, the Orioles' ability to win close games diminishes without trusted relief depth. Monitor the results of these second opinions closely, as they'll likely prompt line adjustments once timelines become clearer.

Source: original report ↗

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